Presentation Title

Case Report: Hallucinations and Delusions and the Interplay Between Them

Speaker Credentials

OMS-IV

Speaker Credentials

MD

College

College of Allopathic Medicine

Format

Poster

Start Date

6-11-2020 2:15 PM

End Date

6-11-2020 2:30 PM

Abstract

Introduction: Patient is a 55 year old female presented under a Baker Act for holding a knife to her son saying that her son is not her son but instead was a gang member holding her hostage. Per report she can communicate with her boyfriend via telepathy. The patient is bizarre, delusional and responding to internal stimuli. When asked if we could contact her husband she said "sure he is in the room" and pointed towards the empty restroom. She states she communicates with her husband through the speaker system of the hospital and that he is a few floors up on the obstetrics floor with her children. Patient then paused and said "listen to his voice"; however, no voice could be heard. The patient states she is the queen of Italy. Urines were positive for Benzodiazepines. Discussion: This patient can further our understanding of delusions and hallucinations by demonstrating both within the same time frame.4,5 The patient experienced capgras delusion, delusions of royalty, auditory and visual hallucinations.1,2 Explanations for these symptoms include an atypical benzodiazepine withdrawal versus pure psychosis.3 This poster will explore hallucinations and delusions and possible causes in the context of an acute combined presentation.

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Nov 6th, 2:15 PM Nov 6th, 2:30 PM

Case Report: Hallucinations and Delusions and the Interplay Between Them

Introduction: Patient is a 55 year old female presented under a Baker Act for holding a knife to her son saying that her son is not her son but instead was a gang member holding her hostage. Per report she can communicate with her boyfriend via telepathy. The patient is bizarre, delusional and responding to internal stimuli. When asked if we could contact her husband she said "sure he is in the room" and pointed towards the empty restroom. She states she communicates with her husband through the speaker system of the hospital and that he is a few floors up on the obstetrics floor with her children. Patient then paused and said "listen to his voice"; however, no voice could be heard. The patient states she is the queen of Italy. Urines were positive for Benzodiazepines. Discussion: This patient can further our understanding of delusions and hallucinations by demonstrating both within the same time frame.4,5 The patient experienced capgras delusion, delusions of royalty, auditory and visual hallucinations.1,2 Explanations for these symptoms include an atypical benzodiazepine withdrawal versus pure psychosis.3 This poster will explore hallucinations and delusions and possible causes in the context of an acute combined presentation.